Once and for all, the lowdown on obesity:
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FAT CELLS
Fat cells are formed in the womb. It is in the period
between infancy and adolescence that the majority of fat cells
are formed. If fat deposits exceed the capacity of a cell, an adult
can generate a new fat cell but this capacity is less as we age, and
stops completely in old age.
Fat cells themselves are replaced every ten years. In that period, the contents
of the cell will change six times. (This is the healthy standard. Older people
whose fat cell contents does not renew might be more prone to illness.)
So two people of the same weight and sex can have very different fat
cell numbers and distribution on their bodies. Liposuction will actually remove
fat cells altogether but there is a danger. If one gains weight after liposuction,
the fat will appear somewhere else on the body because fat cell production
is signaled from an already full cell.
In extensio, one can assume that one's body fat distribution will be a function
of the rate at which those initial cells were built up. If it happened with caloric binge
events, there might be more visceral fat as the body hurries to store all that fat.
If it was leisurely, there will be fat on the buttocks and other extremeties.
Below, very nice results with arms from a Parisian surgeon. Younger patients
might just have liposuction and the skin will spring back. In other cases, skin
also needs to be removed leaving a scar which will fade over six months.
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